Provider Demographics
NPI:1740339340
Name:HUNT, ELIZABETH DAWN (DMD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:DAWN
Last Name:HUNT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:358 WYTHE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:POQUOSON
Mailing Address - State:VA
Mailing Address - Zip Code:23662-1926
Mailing Address - Country:US
Mailing Address - Phone:757-868-6551
Mailing Address - Fax:757-868-8238
Practice Address - Street 1:358 WYTHE CREEK RD
Practice Address - Street 2:
Practice Address - City:POQUOSON
Practice Address - State:VA
Practice Address - Zip Code:23662-1926
Practice Address - Country:US
Practice Address - Phone:757-868-6551
Practice Address - Fax:757-868-8238
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010073211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice